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General NPI Number Information
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NPI Number | 1003896549
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Entity Type | Individual
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Provider Name | PAUL GILLBANKS MD
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Gender | Male
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 08/07/2015
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Provider Practice Location Address
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Address Line | 15035 E 14TH ST
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City | SAN LEANDRO
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State | CA
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Zip | 94578-1901
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Country | US
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Telephone | 510-276-2800
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Fax | 510-276-2890
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Provider Business Mailing Address
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Address Line | 210 N TUSTIN AVE
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City | SANTA ANA
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State | CA
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Zip | 92705-3807
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Country | US
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Telephone | 714-347-1000
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Fax | 714-647-1245
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G68944
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | G68944
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License Number State | CA
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